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Mouth Vestibule Tissue Sample

Michigan rates for HCPCS 40808

This procedure removes a small piece of tissue from the vestibule of the mouth, the space between the lips or cheeks and the gums and teeth. It's done to get a clear diagnosis of a sore, lump, or discolored patch in that area that hasn't resolved on its own. The sample is then examined under a microscope.

Rates data updated July 2026.

How much does Mouth Vestibule Tissue Sample cost?

$166

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $724 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$158$112 to $204
FacilityA hospital or hospital-owned outpatient department$724$209 to $2,042

How much rates vary

Facilitymedian $724 · 10th to 90th $112 to $4,898Professionalmedian $158 · 10th to 90th $91 to $251
$1$10$100$1Kfacility $724professional $158

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$724.44
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$154.88
Typical High
$257.04
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$537.03
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$186.21
Typical High
$281.84
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$177.83
Typical High
$269.15

Where Michigan sits

The same service costs 4.2 times more in Oklahoma than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 49th of 51

$166

OK $676KY $162

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.